Сестринское дело в педиатрии: лист заданий с ответами
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1.Лёгкая
What is the first-line treatment for anaphylaxis in a child?
AOral paracetamol (acetaminophen)
BAn oral antihistamine
CIM adrenaline (epinephrine)
DAn inhaled corticosteroid via a spacer
2.Лёгкая
Which statement about head lice is correct?
AThey only affect children with dirty hair who do not wash it often
BThey spread by head-to-head contact and are not a sign of poor hygiene
CThey jump or fly from one child to another across the classroom
DThey mainly live on pets and pass to children from dogs and cats
3.Лёгкая
Why are infants and young children more likely than adults to get middle ear infections (otitis media)?
ATheir Eustachian tubes are shorter, wider and more horizontal
BTheir ear canals are longer and narrower than those of adults
CThey make more earwax, which traps bacteria in the middle ear
DTheir eardrums are thicker and cannot move with pressure changes
4.Средняя
Which diet is usually recommended for a child with cystic fibrosis?
AA low-fat diet to reduce greasy stools and abdominal pain
BA low-protein diet to reduce the work of the pancreas
CA high-energy, high-fat diet with fat-soluble vitamin supplements
DA low-salt diet to protect the heart and kidneys from damage later in life
5.Средняя
How should a parent respond to a 2-year-old's temper tantrum in a safe place?
ASmack the child to show that tantrums are not allowed
BStay calm, keep the child safe and do not give in to the demand
CGive the child the sweet he wants so the tantrum stops
DShout loudly at the child to make the tantrum stop sooner
6.Средняя
How should anti-sickness medicine be given to a child receiving chemotherapy that often causes vomiting?
AOnly if the child asks for it
BOnly after the child has already vomited at least twice
COnly at night, when the child is asleep
DBefore the chemotherapy starts and then regularly
7.Сложная
An infant with a large VSD now breathes faster, sweats during feeds and has gained 300 g overnight with puffy eyelids. What does this most likely indicate?
AWorsening heart failure with fluid retention
BAn allergic reaction to the new high-energy formula started yesterday
CDehydration due to sweating during feeds
DGood growth thanks to improved feeding
8.Сложная
6-летнему ребёнку назначен кодеин от боли после тонзиллэктомии. Что должна сделать медсестра?
AДать, потому что кодеин безопасен для всех детей
BПоставить назначение под сомнение и обсудить с назначившим врачом, прежде чем давать
CРастолочь и добавить в молоко ребёнку, никому не говоря
DДать двойную дозу, потому что это слабый опиоид
Ответы
1. C · IM adrenaline (epinephrine)
2. B · They spread by head-to-head contact and are not a sign of poor hygiene
3. A · Their Eustachian tubes are shorter, wider and more horizontal
4. C · A high-energy, high-fat diet with fat-soluble vitamin supplements
5. B · Stay calm, keep the child safe and do not give in to the demand
6. D · Before the chemotherapy starts and then regularly
7. A · Worsening heart failure with fluid retention
8. B · Поставить назначение под сомнение и обсудить с назначившим врачом, прежде чем давать
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